Family Medicine Competencies DRAFT
- Practice patient-centered and relationship-based care.
- Recognize the value of relationship-centered care as a tool to facilitate healing.
- Demonstrate respect and understanding for patients' interpretations of health, disease, and illness that are based upon their cultural beliefs and practices.
- Demonstrate the ability to reflect on elements of patient encounters, including personal bias and belief, to facilitate understanding of relationship-centered care.
- Demonstrate patient-centered history taking, using a biopsychosocial approach that includes an accurate nutritional history, spiritual history, and inquiry of conventional and complementary treatments.
- Collaborate with patients in developing and carrying out a health screening and management plan for disease prevention and treatment using conventional and complementary therapies when indicated.
- Understand the evidence base for the relationships between health and disease and the following factors: emotion, stress, nutrition, physical activity, social support, spirituality, sleep, and environment.
- Evaluate the strengths and limitations of evidence-based medicine (EBM) as it applies to conventional and complementary approaches and its translation into patient care.
- Use EBM resources, including those related to CAM, at the point of care.
- Identify reputable print and/or online resources on conventional and complementary.
- Understand national and state standards related to training, licensing, credentialing, and reimbursement of community CAM practitioners.
- Demonstrate understanding of common complementary medicine therapies, including their history, theory, proposed mechanisms, safety/efficacy profile, contraindications, prevalence, and patterns of use.
- Facilitate health behavior changes in patients, using techniques such as motivational interviewing or appreciative inquiry.
- Demonstrate respect for peers, staff, consultants, and CAM practitioners who share in the care of patients.
- Collaborate with community CAM practitioners and other healthcare specialists in the care of patients, while understanding legal implications and appropriate documentation issues.
- Understand importance of self-care practices to improve personal health, maintain work-life equilibrium, and serve as a role model for patients, staff, and colleagues.
- Understand different reimbursement systems and their impact on patient access to both.
- Identify strategies for facilitating access to Integrative Medicine services for their patients, including low-income populations.
- Understand the principles of designing a healthcare setting that reflects a healing environment.
- Demonstrate an understanding of ethical principles regarding decisions and treatment that have potential ethical implications including patient autonomy.
- Act as an effective patient advocate with other members of the health care team
- Advocate for equal access to all types of therapeutic options regardless of socioeconomic status.
- Recognize the importance of informed consent and patient awareness of available conventional treatment options when patients are making unconventional choices regarding their health care.
- Demonstrate personal ethical standards: understand and avoid potential ethical conflicts with the pharmaceutical industries, third-party payers, and other health industry providers, as well as in personal conduct with patients, staff, and colleagues.
- Demonstrate awareness of limitations in expertise, operate within the jurisdictional scope of practice, and refer care when appropriate.
We would appreciate your feedback on the profession-specific competencies. Please contact us if you are interested in reviewing the specific competencies for your profession.